THRIFT SAVINGS PLAN	 TSP-19


TRANSFER OF INFORMATION BETWEEN AGENCIES 

Gaining agencies must obtain the Thrift Savings Plan (TSP) account information of employees who transfer from other Federal agencies 

or who change payroll offices. The losing agency must provide the relevant TSP information to the gaining agency, whether or not the 

employee is contributing to the TSP. The gaining agency should provide a copy of the completed form to the employee and forward the 

original to the payroll office. A copy may also be filed in the employee’s Official Personnel Folder. 

Section A Employee Information 

1. Name 

Last First Middle 

2. Social Security No. – – 3. Date of Birth / mm dd 

/ 

yyyy 

4. Effective Date of Transfer / mm dd 

/ 

yyyy 

Section B Information to Be Transferred 

Enrollment Information 

Enter the employee's contribution election using either Item 5 (a whole percentage of basic pay per pay period) or Item 6 (a whole 

dollar amount per pay period). 

5.	 .0% OR 6. $ .00 7. Check if noncontributing FERS employee 

and is not eligible for agency contributions 

8.	 Total employee contributions made for current year: $ as of / /
 mm dd yyyy


9.	 TSP Service Computation Date (FERS only) / / 10. TSP Vesting Code
 mm dd yyyy (FERS Only)


11.	 TSP Status Code (Enter the appropriate code): 12. TSP Status Date / / 

W = FERS contributing but not eligible for agency contributions mm dd yyyy 

E = FERS eligible for agency contributions but not contributing 

Y = contributing and, if FERS, eligible for agency contributions 

T = stopped contributions and, if FERS, eligible for agency contributions 

S = FERS stopped contributing but not yet eligible for agency contributions 

13.	 If TSP Status Code is W or S or if Item 7 is checked, indicate date employee will become eligible for / / 

agency contributions. mm dd yyyy 

14.	 If TSP Status Code is T or S and employee is in the noncontribution period resulting from a financial / / 

hardship in-service withdrawal, indicate the ending day of this period. mm dd yyyy 

Catch-up Contributions 

15.	 If the employee is currently making catch-up contributions, enter the 

dollar amount per pay period and the attributable calendar year.	 $ .00 for


year


16.	 Total catch-up contributions made for current year: $ as of / / mm dd yyyy 

Loan Information 

17.	 Does employee have a TSP loan? (Check one.) Yes (Complete Items below, as applicable.) No (Skip to Item 22.) 

First Loan 18. Account Number:	 19. Payment Amount $ 

Second Loan 20. Account Number:	 21. Payment Amount $ 

Section C Identification of Losing Agency 

22. Agency Name and Location	 23.	 Payroll Office 8-digit Identifying Number 

24.	 Name of Contact Person 25. Telephone ( ) – Area Code and Number 

Form TSP-19 (Revised 6/2005)

Reproduce Locally	 PREVIOUS EDITIONS OBSOLETE 
INSTRUCTIONS


Items 1-3. Enter the identifying information. 

Item 4. Enter the effective date of the transfer. 

Items 5-6. Complete item 5 or 6, as applicable. 

Item 7. Check this box if employee is covered by FERS and has never made a TSP contribution election and is not yet 

eligible to receive agency contributions. 

Item 8. Enter the total amount of contributions that were deducted from the employee’s pay for the current year. 

Items 9-10. Complete these items if the employee is covered by FERS. 

Items 11-12. Complete these items to reflect the employee’s TSP status code and TSP status date. 

Item 13. If the status code entered in item 11 is “W” or “S” OR the box in item 7 is checked, enter the date the employee will become eligible for agency contributions. 

Item 14. If the status code entered in item 11 is “T” or “S” AND the employee is serving the non-contribution period 

attributable to a financial hardship in-service withdrawal, enter the date the non-contribution period will end. 

Item 15. Enter the dollar amount and the attributable calendar year. 

Item 16. Enter the total amount of catch-up contributions that were deducted from the employee’s pay for the current 

year. 

Item 17. Check the appropriate box. 

Items 18-21. Enter the applicable information. 

Items 22-25. Enter the identifying information.